I1

Ultrasound

7

 1

General

7

 2

Cardiac

16

 3

Vascular

18

 4

Urological

20

I2

Computerised Tomography (excluding Magnetic Resonance Imaging)

21

 1

Computerised Tomography on a Body Scanner and Report

21

 2

Computerised Tomography on a Brain Scanner and Report

31

I3

Diagnostic Radiology

31

 1

Radiographic Examination of Extremities and Report

31

 2

Radiographic Examination of Shoulder or Pelvis and Report

33

 3

Radiographic Examination of Head and Report

35

 4

Radiographic Examination of Spine and Report

34

 5

Bone Age Study and Skeletal Surveys and Report

35

 6

Radiographic Examination of Thoracic Region and Report

35

 7

Radiographic Examination of Urinary Tract and Report

36

 8

Radiographic Examination of Alimentary Tract and Biliary System and Report

38

 9

Radiographic Examination for Localisation of Foreign Bodies and Report

38

 10

Radiographic Examination of Breasts and Report

39

 11

Radiographic Examination in connection with Pregnancy and Report

40

 12

Radiographic Examination with Opaque or Contrast Media and Report

40

 13

Angiography and Report

41

 14

Tomography and Report

45

 15

Stereoscopic Examination and Report

45

 16

Fluoroscopic Examination and Report

45

 17

Examination and Report to which no other Item Applies

46

 18

Preparation for Radiological Procedure

46

 19

Interventional Techniques

48

I4

Nuclear Medicine Imaging

48

Item

Diagnostic imaging service

Fee

55028

Head, ultrasound scan of, performed by, or on behalf of, a medical practitioner, if:

 (a) the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies; and

 (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

$98.75

55029

Head, ultrasound scan of, if the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)

$34.25

55030

Orbital contents, ultrasound scan of, performed by, or on behalf of, a medical practitioner, if:

 (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies; and

 (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

$98.75

55031

Orbital contents, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)

$34.25

55032

Neck, 1 or more structures of, ultrasound scan of, performed by, or on behalf of, a medical practitioner, if:

 (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies; and

 (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

$98.75

55033

Neck, 1 or more structures of, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)

$34.25

55034

Breast, 1 or both, ultrasound scan of, performed by, or on behalf of, a medical practitioner, if:

 (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies; and

 (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

$98.75

55035

Breast, 1 or both, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)

$34.25

55036

Abdomen, ultrasound scan of, including scan of urinary tract when undertaken, performed by, or on behalf of, a medical practitioner, if:

 (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies; and

 (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

$98.75

55037

Abdomen, ultrasound scan of, including scan of urinary tract when undertaken, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)

$34.25

55038

Urinary tract, ultrasound scan of, performed by, or on behalf of, a medical practitioner, if:

 (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 55055 or an item in Subgroup 2 or 3 of this Group applies; and

 (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

$98.75

55039

Urinary tract, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)

$34.25

55040

Pelvis or abdomen, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, performed by, or on behalf of, a medical practitioner, if:

 (a) the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies; and

 (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

$98.75

55041

Pelvis or abdomen, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, if the patient is not referred by a medical practitioner for ultrasonic examination—each ultrasonic examination, not exceeding 2 examinations in any 1 pregnancy, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)

$34.25

55042

Pelvis, female, ultrasound scan of, by any or all approaches, performed by, or on behalf of, a medical practitioner, if:

 (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies; and

 (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

$98.75

55043

Pelvis, female, ultrasound scan of, by any or all approaches, if the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)

$34.25

55044

Pelvis, male, ultrasound scan of, by any or all approaches, performed by, or on behalf of, a medical practitioner, if:

 (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies; and

 (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

$98.75

55045

Pelvis, male, ultrasound scan of, by any or all approaches, if the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)

$34.25

55048

Scrotum, ultrasound scan of, performed by, or on behalf of, a medical practitioner, if:

 (a) the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies; and

 (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

$99.15

55049

Scrotum, ultrasound scan of, if the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)

$34.25

55050

Musculo-skeletal, 1 or more regions, ultrasound scan of, performed by, or on behalf of, a medical practitioner, if:

 (a) the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies; and

 (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

$99.15

55051

Musculo-skeletal, 1 or more regions, ultrasound scan of, if the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055,or an item in Subgroup 2 or 3 of this Group, applies (NR)

$34.25

55052

Joint, 1 or more, ultrasound scan of, performed by, or on behalf of, a medical practitioner, if:

 (a) the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies; and

 (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

$98.75

55053

Joint, 1 or more, ultrasound scan of, if the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)

$34.25

55054

Ultrasonic cross-sectional echography, in conjunction with a surgical procedure, using interventional techniques, not being a service associated with a service to which any other item in this Group applies (R)

$98.75

55055

Orbital contents, ultrasonic echography of, unidimensional, not being a service associated with a service to which another item in this Group applies (NR)

$59.80

55056

Ultrasound scan not otherwise specified, not being a service associated with a service to which item 55055, or an item in Subgroups 2 or 3 of this Group, applies (R)

$5.20

55057

Ultrasound scan not otherwise specified, not being a service associated with a service to which item 55055, or an item in Subgroups 2 or 3 of this Group, applies (NR)

$5.20

55058

Measurement of umbilical blood flow using pulsed wave or continuous wave Doppler techniques after the 26th week of gestation, if:

 (a) the patient is referred by a medical practitioner for this procedure; and

 (b) there is reason to suspect intrauterine growth retardation or a significant risk of foetal death;

not being a service associated with a service to which an item in this Group applies—examination and report (R)

$26.95

Subgroup 2—Cardiac

55102

M-Mode and 2-dimensional real time echocardiographic examination of the heart from at least 2 thoracic windows:

 (a) that is performed using a mechanical sector scanner or phased array transducer, with measurement of blood flow velocities across the cardiac valves; and

 (b) that uses pulsed wave and continuous wave Doppler techniques; and

 (c) with recordings on video tape;

not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 4 of this Group applies (R)

$162.05

55105

M-Mode and 2-dimensional real time echocardiographic examination of the heart from at least 2 thoracic windows:

 (a) that is performed using a mechanical sector scanner or phased array transducer; and

 (b) with measurement of cardiac dimensions; and

 (c) with recordings on video tape;

not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 4 of this Group applies (R)

 $91.70

55112

M-Mode and 2-dimensional real time echocardiographic examination of the heart from at least 2 thoracic windows:

 (a) that is performed using a mechanical sector scanner or phased array transducer; and

 (b) with measurement of blood flow velocities across the cardiac valves using:

 (i) pulsed wave and continuous wave Doppler techniques; and

 (ii) real time colour flow mapping from at least 2 thoracic windows; and

 (iii) recordings on video tape;

not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 4 of this Group applies (R)

$250.60

55118

Heart, 2 dimensional real time transoesophageal examination of, from at least 2 oesophageal windows:

 (a) that is performed using a mechanical sector scanner or phased array transducer; and

 (b) with measurement of blood flow velocities across the cardiac valves using:

 (i) pulsed wave and continuous Doppler techniques; and

 (ii) real time colour flow mapping from at least 2 oesophageal windows; and

 (iii) recordings on video tape;

not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 4 of this Group applies (R) (Anaes. 17708 = 6B + 2T)

$250.10

55130

Intra-operative 2-dimensional real time transoesophageal echocardiography incorporating:

 (a) Doppler techniques with colour flow mapping; and

 (b) recording onto video tape; and

 (c) sequential assessment of cardiac function before and after the surgical procedure (R) (Anaes. 17710 = 6B + 4T)

$357.15

Subgroup 3—Vascular

55201

Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of:

 (a) carotid vessels (with or without vertebral arteries); or

 (b) peripheral vessels (with or without intra-abdominal studies necessary for views of the lower aorta); or

 (c) intra-thoracic or intra-abdominal vascular structures (excluding cardiac and pregnancy related studies);

not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 4 of this Group applies—1 examination and report (R)

$170.60

55204

2 or more examinations of the kind referred to in item 55201 and report—not being a service associated with a service to which an item in Subgroups 1 (except item 55054) or 4 of this Group applies (R)

$293.20

55225

Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of carotid vessels, with oculoplethysmography, not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 4 of this Group applies—examination and report (R)

$204.70

55231

Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis, of peripheral vessels and carotid vessels, with oculoplethysmography, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies—examination and report (R)

$330.50

55234

Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis, of peripheral vessels, including a service referred to in item 11603, 11606 or 11609, not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 4 of this Group applies—examination and report (R)

$198.30

55237

Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of peripheral vessels before measured exercise using treadmill or bicycle ergometer, and measurement of pressure:

 (a) after exercise for 10 minutes; or

 (b) until pressure is normal (unilateral or bilateral);

not being a service associated with a service to which an item in Subgroup 1 (except mitem 55054) or 4 of this Group applies—examination and report (R)

$218.55

Subgroup 4—Urological

55300

Prostate, bladder base and urethra, transrectal ultrasound scan of, if performed:

 (a) personally by a medical practitioner (not being the medical practitioner who assessed a patient referred to in paragraph (c)), using a transducer probe or probes with a nominal frequency of 7 to 7.5 megahertz or a nominal frequency range that:

 (i) includes frequencies of 7 to 7.5 megahertz; and

 (ii) can obtain both axial and sagittal scans in 2 planes at right angles; and

 (b) following a digital rectal examination of the prostate by that medical practitioner; and

 (c) on a patient who has been assessed by a specialist in urology, radiation oncology or medical oncology or a consultant physician in medical oncology who has:

 (i) examined the patient in the 60 days prior to the scan; and

 (ii) recommended the scan for the management of the patient's current prostatic disease (R)

$98.75

55303

Prostate, bladder base and urethra, transrectal ultrasound scan of, if performed:

 (a) personally by a medical practitioner who undertook the assessment referred to in paragraph (c) using a transducer probe, or probes, with a nominal frequency of 7 to 7.5 megahertz or a nominal frequency range that:

 (i) includes frequencies of 7 to 7.5 megahertz; and

 (ii) can obtain both axial and sagittal scans in 2 planes at right angles; and

 (b) following a digital rectal examination of the prostate by that medical practitioner; and

 (c) on a patient who has been assessed by a specialist in urology, radiation oncology or medical oncology or a consultant physician in medical oncology who has:

 (i) examined the patient in the 60 days prior to the scan; and

 (ii) recommended the scan for the management of the patient’s current prostatic disease (R)

$98.75

GROUP I2—COMPUTERISED TOMOGRAPHY (EXCLUDING MAGNETIC RESONANCE IMAGING)

Subgroup 1—Computerised Tomography on a Body Scanner and Report

56000

Computerised tomography—scan of brain with or without scan of internal auditory meatus without intravenous contrast medium, not being a service to which item 57000 or 57100 applies (R)

$147.40

56003

Computerised tomography—scan of brain with or without scan of internal auditory meatus with intravenous contrast medium, not being a service to which item 57003 or 57103 applies (R)

$204.70

56006

Computerised tomography—scan of brain with or without scan of internal auditory meatus without intravenous contrast medium (minimum of 8 slices) with intravenous contrast medium, not being a service to which item 57006 or 57106 applies (R)

$241.90

56009

Computerised tomography—scan of pituitary fossa by multiple thin slices (including reconstructions) with or without intravenous contrast medium or brain scan (R)

$489.35

56012

Computerised tomography—scan of orbits by multiple thin slices (including reconstructions), with or without intravenous contrast medium or brain scan (R)

$483.70

56015

Computerised tomography—scan of middle ear and temporal bone, unilateral or bilateral, detailed study by multiple thin slices (including reconstructions) with or without intravenous contrast medium or brain scan (R)

$472.45

56018

Computerised tomography—scan of temporal bones with air study (including reconstructions), including intrathecal injection but not including an associated brain scan (R)

$380.80

56021

Computerised tomography—scan of 1 or more regions of facial bones, sinuses and salivary glands without intravenous contrast medium (R)

$264.10

56024

Computerised tomography—scan of 1 or more regions of facial bones, sinuses and salivary glands with intravenous contrast medium (R)

$281.20

56027

Computerised tomography—scan of 1 or more regions of facial bones, sinuses and salivary glands without and with intravenous contrast medium (R)

$399.30

56100

Computerised tomography—scan of 1 or more regions of soft tissues of the neck, including larynx, pharynx and upper oesophagus (not associated with cervical spine) without intravenous contrast medium, not being a service to which item 56900 applies (R)

$380.80

56103

Computerised tomography—scan 1 or more regions of soft tissues of the neck, including larynx, pharynx and upper oesophagus (not associated with cervical spine), with intravenous contrast medium, not being a service to which item 56903 applies (R)

$410.55

56106

Computerised tomography—scan 1 or more regions of soft tissues of the neck, including larynx, pharynx and upper oesophagus (not associated with cervical spine), without and with intravenous contrast medium, not being a service to which item 56906 applies (R)

$449.95

56200

Computerised tomography—scan of spine, 1 or more regions, 25 slices or less without intravenous contrast medium (R)

$186.70

56203

Computerised tomography—scan of spine, 1 or more regions, 25 slices or less with intravenous contrast medium (R)

$218.25

56206

Computerised tomography—scan of spine, 1 or more regions, 25 slices or less without and with intravenous contrast medium (R)

$292.45

56209

Computerised tomography—scan of spine, 1 or more regions, 26 or more slices without intravenous contrast medium (R)

$264.10

56212

Computerised tomography—scan of spine, 1 or more regions, 26 or more slices with intravenous contrast medium (R)

$292.45

6215

Computerised tomography—scan of spine, 1 or more regions, 26 or more slices without and with intravenous contrast medium (R)

$410.55

56218

Computerised tomography—scan of spine, 1 or more regions with intrathecal contrast medium, not including the preparation by intrathecal injection of contrast medium (R)

$264.10

56300

Computerised tomography—scan of chest, including lungs, mediastinum and pleura, without intravenous contrast medium, not being a service to which item 56700, 56800, 56900, 57000 or 57100 applies (R)

$264.10

56303

Computerised tomography—scan of chest, including lungs, mediastinum and pleura, with intravenous contrast medium, not being a service to which item 56703, 56803, 56903, 57003 or 57103 applies (R)

$303.70

56306

Computerised tomography—scan of chest, including lungs, mediastinum and pleura, without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium, not being a service to which item 56706, 56806, 56906, 57006 or 57106 applies (R)

$382.45

56400

Computerised tomography—scan of upper abdomen (diaphragm to iliac crest) or pelvis without intravenous contrast medium, not being a service to which item 56700, 56800, 56900 or 57100 applies (R)

$147.40

56403

Computerised tomography—scan of upper abdomen (diaphragm to iliac crest) or pelvis with intravenous contrast medium, not being a service to which item 56703, 56803, 56903 or 57103 applies (R)

$180.00

56406

Computerised tomography—scan of upper abdomen (diaphragm to iliac crest) or pelvis without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium, not being a service to which item 56706, 56806, 56906 or 57106 applies (R)

 $292.45

56500

Computerised tomography—scan of upper abdomen and pelvis without intravenous contrast medium, not being a service to which item 56700, 56800, 56900 or 57100 applies (R)

$226.05

56503

Computerised tomography—scan of upper abdomen and pelvis with intravenous contrast medium, not being a service to which item 56703, 56803, 56903 or 57103 applies (R)

$269.95

56506

Computerised tomography—scan of upper abdomen and pelvis without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium, not being a service to which item 56706, 56806, 56906 or 57106 applies (R)

$382.45

56600

Computerised tomography—scan of extremities, 1 or more regions involving up to 20 slices without intravenous contrast medium (R)

$147.40

56603

Computerised tomography—scan of extremities, 1 or more regions involving up to 20 slices with intravenous contrast medium (R)

$180.00

56606

Computerised tomography—scan of extremities, 1 or more regions involving up to 20 slices without and with intravenous contrast medium (R)

$218.25

56609

Computerised tomography—scan of extremities, 1 or more regions involving more than 20 slices but not more than 40 slices without intravenous contrast medium (R)

$186.70

56612

Computerised tomography—scan of extremities, 1 or more regions involving more than 20 slices but not more than 40 slices with intravenous contrast medium (R)

$218.25

56615

Computerised tomography—scan of extremities, 1 or more regions involving more than 20 slices but not more than 40 slices without and with intravenous contrast medium (R)

$292.45

56618

Computerised tomography—scan of extremities, 1 or more regions involving more than 40 slices without intravenous contrast medium (R)

$264.10

56621

Computerised tomography—scan of extremities, 1 or more regions involving more than 40 slices with intravenous contrast medium (R)

$292.45

56624

Computerised tomography—scan of extremities, 1 or more regions involving more than 40 slices without and with intravenous contrast medium (R)

 $371.15

56700

Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) without intravenous contrast medium, not being a service to which item 56800, 56900 or 57100 applies (R)

$264.10

56703

Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) with intravenous contrast medium, not being a service to which item 56803, 56903 or 57103 applies (R)

$309.30

56706

Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) without and with intravenous contrast medium, not being a service to which item 56806, 56906 or 57106 applies (R)

 $388.10

56800

Computerised tomography—scan of chest, abdomen and pelvis without intravenous contrast medium, not being a service to which item 56900 applies (R)

 $344.00

56803

Computerised tomography—scan of chest, abdomen and pelvis with intravenous contrast medium, not being a service to which item 56903 applies (R)

 $388.10

56806

Computerised tomography—scan of chest, abdomen and pelvis without and with intravenous contrast medium, not being a service to which item 56906 applies (R)

$545.55

56900

Computerised tomography—scan of neck, chest, abdomen and pelvis without intravenous contrast medium (R)

 $497.50

56903

Computerised tomography—scan of neck, chest, abdomen and pelvis with intravenous contrast medium (R)

$545.55

56906

Computerised tomography—scan of neck, chest, abdomen and pelvis without and with intravenous contrast medium (R)

$658.05

57000

Computerised tomography—scan of brain and chest without intravenous contrast medium (R)

$264.10

57003

Computerised tomography—scan of brain and chest with intravenous contrast medium (R)

 $309.30

57006

Computerised tomography—scan of brain and chest without and with intravenous contrast medium (R)

$427.45

57100

Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain without intravenous contrast medium (R)

 $380.80

57103

Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain with intravenous contrast medium (R)

$427.45

57106

Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain without and with intravenous contrast medium (R)

$545.55

57200

Computerised tomography—pelvimetry (R)

 $147.40

57300

Computerised tomography—dynamic scan of region, not being a service associated with a service to which another item in this Group applies (R)

 $180.00

57303

Computerised tomography—dynamic scan of region, being a service associated with a service to which another item in this Group applies (R)

Amount under rule 10

57340

Computerised tomography, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which another item in this table applies (R)

$266.55

Subgroup 2—Computerised

Tomography on a Brain Scanner and Report

57400

Computerised tomography—scan of brain without intravenous contrast medium (R)

$74.90

57403

Computerised tomography—scan of brain with intravenous contrast medium (R)

$91.10

57406

Computerised tomography—scan of brain without and with intravenous contrast medium (R)

$141.75

GROUP I3—DIAGNOSTIC RADIOLOGY

Subgroup 1 Radiographic Examination of Extremities and Report

57500

Digits or phalanges—all or any of either hand or either foot (NR)

$30.85

57503

Digits or phalanges—all or any of either hand or either foot (R)

$41.15

57506

Hand, wrist, forearm, elbow or arm (elbow to shoulder) (NR)

$30.85

57509

Hand, wrist, forearm, elbow or arm (elbow to shoulder) (R)

$41.15

57512

Hand, wrist and lower forearm or upper forearm and elbow or elbow and arm (elbow to shoulder) (NR)

$41.90

57515

Hand, wrist and lower forearm or upper forearm and elbow or elbow and arm (elbow to shoulder) (R)

$55.90

57518

Foot, ankle, lower leg, upper leg, knee or thigh (femur) (NR)

$33.70

57521

Foot, ankle, lower leg, upper leg, knee or thigh (femur) (R)

$44.95

57524

Foot, ankle and lower leg or upper leg and knee (NR)

$51.10

57527

Foot, ankle and lower leg or upper leg and knee (R)

$68.10

Subgroup 2—Radiographic Examination of Shoulder or Pelvis and Report

57700

Shoulder or scapula (NR)

$41.90

57703

Shoulder or scapula (R)

$55.90

57706

Clavicle (NR)

$33.70

57709

Clavicle (R)

$44.95

57712

Hip joint (R)

$48.80

57715

Pelvic girdle (R)

$62.95

57718

Sacro‑iliac joints (R)

$62.95

57721

Femur, internal fixation of neck or intertrochanteric (pertrochanteric) fracture (R)

$102.75

Subgroup 3—Radiographic Examination of Head and Report

57900

Skull (calvarium) (R)

$66.80

57903

Sinuses (R)

$48.80

57906

Mastoids (R)

$66.80

57909

Petrous temporal bones (R)

$66.80

57912

Facial bones—orbit, maxilla or malar, any or all (R)

$48.80

57915

Mandible (R)

$48.80

57918

Salivary calculus (R)

$48.80

57921

Nose (R)

$48.80

57924

Eye (R)

$48.80

57927

Temporo-mandibular joints (R)

$51.40

57930

Teeth—single area (R)

$34.05

57933

Teeth—full mouth (R)

$80.95

57936

Teeth—orthopantomography (R)

$49.00

57939

Palato-pharyngeal studies with fluoroscopic screening (R)

$66.80

57942

Palato-pharyngeal studies without fluoroscopic screening (R)

$51.40

57945

Larynx (R)

$44.95

Subgroup 4—Radiographic Examination of Spine and Report

58100

Spine—cervical (R)

$66.80

58103

Spine—thoracic (R)

$57.15

58106

Spine—lumbo-sacral (R)

$78.40

58109

Spine—sacro-coccygeal (R)

$48.20

58112

Spine—2 regions (R)

$98.90

58115

Spine—3 or more regions (R)

$136.20

58118

Spine—functional views of 1 area (R)

$21.35

Subgroup 5—Bone Age Study and Skeletal Survey and Report

58300

Bone age study, wrist and knee (R)

$48.80

58303

Bone age study, wrist (R)

$41.15

58306

Skeletal survey involving 4 or more regions (R)

$92.55

Subgroup 6—Radiographic Examination of Thoracic Region and Report

58500

Chest (lung fields) by direct radiography (NR)

$36.60

58503

Chest (lung fields) by direct radiography (R)

$48.80

58506

Chest (lung fields) by direct radiography with fluoroscopic screening (R)

$62.95

58509

Thoracic inlet or trachea (R)

$41.15

58512

Chest by miniature radiography (R)

$22.65

58515

Cardiac examination (including barium swallow) (NR)

$47.25

58518

Cardiac examination (including barium swallow) (R)

$62.95

58521

Sternum or ribs on 1 side (R)

$44.95

58524

Sternum and ribs on 1 side or ribs on both sides (R)

$58.45

58527

Sternum and ribs on both sides (R)

$71.95

Subgroup 7—Radiographic Examination of Urinary Tract and Report

58700

Plain renal only (R)

$48.80

58703

Drip-infusion pyelography (R)

$136.20

58706

Intravenous pyelography, including preliminary plain film (R)

$128.25

58709

Intravenous pyelography, including preliminary plain film and limited tomography, involving up to 3 tomographic cuts (R)

$159.70

58712

Intravenous pyelography, including preliminary plain film with delayed examination for the cysto-ureteric reflux (R)

$161.95

58715

Antegrade or retrograde pyelography including preliminary plain film (R)

$102.75

58718

Retrograde cystography or retrograde urethrography (R) (Anaes. 17705 = 3B + 2T)

$68.10

58721

Retrograde micturating cysto-urethrography (R) (Anaes. 17705 = 3B + 2T)

$80.95

58724

Retro-peritoneal pneumogram (R)

$51.40

Subgroup 8—Radiographic Examination of Alimentary Tract and Biliary System and Report

58900

Plain abdominal only, not being a service associated with a service to which item 58909, 58912, 58915 or 58924 applies (NR)

$36.60

58903

Plain abdominal only, not being a service associated with a service to which item 58909, 58912, 58915 or 58924 applies (R)

$48.80

58906

Oesophagus, with or without examination for foreign body or barium swallow (R)

$69.40

58909

Barium or other opaque meal of oesophagus, stomach and duodenum, with or without screening of chest and with or without preliminary plain film (R)

$95.10

58912

Barium or other opaque meal of oesophagus, stomach, duodenum and follow through to colon, with or without screening of chest and with or without preliminary plain film (R)

$113.10

58915

Barium or other opaque meal, small bowel series only, with or without preliminary plain film (R)

$80.95

58918

Opaque enema (R)

$95.10

58921

Opaque enema, including air contrast study (R)

$113.10

58924

Graham's test (cholecystography), including preliminary abdominal radiography (R)

$80.95

58927

Cholegraphy direct—operative or post-operative (R)

$78.40

58930

Cholegraphy—intravenous (R)

$113.10

58933

Cholegraphy—percutaneous transhepatic (R)

$92.55

58936

Cholegraphy—drip infusion (R)

$154.20

Subgroup 9—Radiographic Examination for Localisation of Foreign Bodies and Report

59100

Foreign body in eye (special method, Sweet's or other) (R)

$68.10

59103

Foreign body, localisation of and report, not being a service to which another item in this Group applies (R)

Amount

under rule 11

Subgroup 10—Radiographic Examination of Breasts and Report

59300

Radiographic examination of both breasts (with or without thermography) and report where the patient is referred with a specific request for this procedure and there is reason to suspect the presence of malignancy in the breasts because of the past occurrence of breast malignancy in the patient or members of the patient's family or because symptoms or indications of malignancy were found on an examination of the patient by a medical practitioner (R) (S)

$80.95

59303

Radiographic examination of one breast (with or without thermography) and report where the patient is referred with a specific request for this procedure and there is reason to suspect the presence of malignancy in the breast because of the past occurrence of breast malignancy in the patient or members of the patient's family or because symptoms or indications of malignancy were found on an examination of the patient by a medical practitioner (R) (S)

$48.80

59306

Mammary ductogram (galactography)—1 breast (R)

$93.35

59309

Mammary ductogram (galactography)—2 breasts (R)

$186.75

Subgroup 11—Radiographic Examination in connection with Pregnancy and Report

59500

Pregnant uterus (R)

$50.10

59503

Pelvimetry or placentography (R)

$92.55

59506

Control X-rays in conjunction with intrauterine foetal blood transfusion (R)

$68.10

Subgroup 12—Radiographic Examination with Opaque or Contrast Media and Report

59700

Discography—1 disc (R)

$71.95

59703

Dacryocystography—1 side (R)

$48.80

59706

Encephalography (R)

$106.65

59709

Cerebral ventriculography (R)

$92.55

59712

Hysterosalpingography (R)

$69.40

59715

Bronchography—1 side (R)

$102.75

59718

Phlebography—1 side (R)

$102.75

59721

Splenography (R)

$102.75

59724

Myelography—1 region (R)

$123.35

59727

Myelography—2 regions (R)

$205.60

59730

Myelography—3 regions (R)

$276.25

59733

Sialography—1 side (R)

$69.40

59736

Vasoepididymography—1 side (R)

$69.40

59739

Sinuses and fistulae (R)

Amount under rule 11

59742

Laryngography with contrast media (R)

$51.40

59745

Pneumoarthrography (R)

$43.70

59748

Arthrography—contrast (R)

$51.40

59751

Arthrography—double contrast (R)

$89.95

59754

Lymphangiography, including follow up radiography (R)

$68.10